KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ U ĐẶC GIẢ NHÚ THÂN, ĐUÔI TỤY TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objectives: To evaluate the early and long-term postoperative outcomes of solid pseudopapillary neoplasms (SPNs) of the pancreatic body and tail at Viet Duc University Hospital. Methods: A  retrospective, longitudinal descriptive study was conducted on 39 patients diagnosed with SPNs of the pancreatic body and tail who underwent surgery at Viet Duc University Hospital from December 1, 2014, to November 30, 2019. Results: The average age was 27.3, females accounted for 94.9%, and the average tumor size was 57.8mm. Laparoscopic surgery accounted for 28.2%, open surgery was 71.8%, the majority of patients underwent distal pancreatectomy with splenectomy (61.5%). Long-term follow-up was available for 35 patients, with no mortality reported, 2 patients experienced tumor recurrence at 37 and 50 months postoperatively. Most patients (85.7%) reported a good quality of life. The 5-year disease-free survival rate was 94.2%. Conclusion: Pancreatectomy for SPNs gives good results, a low recurrence rate, good quality of life. Laparoscopic distal pancreatectomy for SPNs is possible, safe, and feasible. Gender, CA 19-9 concentration, tumor size, and structure have not been found to be related to recurrence.